NPIMap

Organization Active NPI

Umass Memorial Healthalliance Clinton Hospital Inc

  • General Acute Care Hospital
  • Leominster, MA
National Provider Identifier
1013995133
Registry record updated Nov 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
UMASS MEMORIAL HEALTHALLIANCE CLINTON HOSPITAL INC
Practice address
60 Hospital Rd
Leominster, MA 01453-2205
Phone
(978) 466-2000
NPI assigned
Jan 9, 2006
Last updated
Nov 14, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
John E Bronhard II
Title
Chief Financial Officer
Phone
(978) 870-1550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X MA Primary

Addresses

Primary practice location

60 Hospital Rd
Leominster, MA 01453-2205

Mailing address

60 Hospital Rd
Leominster, MA 01453-2205
Phone (978) 466-2000

Other identifiers 2

IdentifierTypeStateIssuer
1000128MedicaidMA
1200313MedicaidMA

Other names 1

  • UMass Memorial Healthcare Inc HealthAlliance Hospitals Inc Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110908002001 MA Part A Provider - Hospital 8224084090 1 other NPI on this enrollment
Practice locations: Lancaster, MA; Leominster, MA; Fitchburg, MA; Clinton, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013995133. Details of each certification follow.

Hospital certification: CCN 220001

Legal name
UMASS MEMORIAL HEALTHALLIANCE CLINTON HOSPITAL INC
Doing business as
HEALTHALLIANCE-CLINTON HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Apr 14, 1993
Beds
150
Ownership / control type
Other
Organization structure
CorporationNon-profit
Incorporated
Nov 4, 1994 in MA
Enrollment address
60 Hospital Rd
Leominster, MA 14532205
Main/Primary Hospital Location
Hospital subgroups
General, Acute care, Psychiatric

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Umass Memorial Healthalliance HospitalsCCN 220001 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

60 Hospital Rd
#3
Leominster, MA 01453

Ownership & related parties

All disclosed owners & managing parties 21

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Maureen a Podesta Individual W-2 Managing EmployeeDirector of Medical Staff Services Apr 1, 2019
Melissa Nicole Lennon Individual W-2 Managing EmployeeSr Claims System Analyst Jan 1, 2020
Brian J Huggins Individual Corporate OfficerSVP Fiance/Corp Controller May 1, 2024
W-2 Managing EmployeeSVP Fiance/Corp Controller May 1, 2024
Tammy Gravel Individual Corporate DirectorBoard of Trustee Mar 29, 2020
Michael Ames Individual Corporate Director Oct 1, 2017
Charles E Cavagnaro Individual Contracted Managing EmployeeInterim President May 1, 2024
Corporate OfficerInterim President May 1, 2024
Michael a Mahan Individual Corporate Director Mar 30, 2016
Heidi Ann Nano Individual W-2 Managing EmployeeManager Prebilling and Claims Apr 30, 2019
Matthew R Zanghi Individual Operational/Managerial Control Apr 8, 2024
Joahd M Toure Individual Operational/Managerial Control Sep 21, 2023
Debra M Wooldridge Individual W-2 Managing EmployeeSupervisor, Provider Enrollment Apr 1, 2019
Beth K Mazyck Individual Operational/Managerial Control Jul 26, 2024
Umass Memorial Community Hospitals Organization, Worcester, MA Non-profit Operational/Managerial Control Jun 1, 1998
Steven M McCue Individual Corporate DirectorCfo Jan 1, 2020
Luis Maseda Individual Corporate Director Oct 1, 2017
Kimberly W Ebb Individual Corporate DirectorBoard of Trustee May 31, 2021
Tayyaba Salman Individual Operational/Managerial Control Sep 27, 2024
Central New England Healthalliance, Inc. Organization, Leominster, MA Non-profit Operational/Managerial Control Nov 4, 1994
Robert Paulhus Individual Corporate Director Oct 1, 2017
Umass Memorial Health Care, Inc. Organization, Worcester, MA Non-profit 5% Or Greater Direct Ownership Interest Jun 1, 1998 100%
Marilyn C Amaya Individual W-2 Managing EmployeeProvider Enrollment Specialist Apr 1, 2019

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 33

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 33

Affiliated clinicians 1,135

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 1,135

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510617600000",
    "number": "1013995133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 HOSPITAL RD",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014532205",
            "telephone_number": "978-466-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 HOSPITAL RD",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014532205",
            "telephone_number": "978-466-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UMASS MEMORIAL HEALTHALLIANCE CLINTON HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-09",
        "last_updated": "2017-11-14",
        "status": "A",
        "authorized_official_last_name": "BRONHARD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "978-870-1550",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000128",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1200313",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UMass Memorial Healthcare Inc HealthAlliance Hospitals Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Leominster, MA

Sources for this page

Verify at the official NPI Registry.